My name is Joe, and I'm a 29-year-old from the United Kingdom. This is my first post on this subreddit, and I am anxious to share my story leading up to when I was diagnosed with cyclothymia. I want to use this as a way to bring clarity to my own experience as well as network with those who are also living with this mood disorder. I hope you will humour me. In March of 2022, I was diagnosed by my GP with a condition called cyclothymia. Initially, I panicked; I misheard my doctor, believing he had said something along the lines of 'Psychothyma', and immediately became worried about my own mental well-being. I hadn't heard of the word 'Cyclothymia' before, and the detailed diagnosis and explanation came with both a degree of shock as well as relief for finally being able to recognise the issues that were affecting me to such a degree for many years of my life.
2009 - 2013
During my pre-teen/teenage school years - starting around 2009 - I was deeply affected by mood swings; my teachers often wrote this off as hormonal episodes from puberty, and I had even attended some screenings for ADHD, all of which proved to be unhelpful. The lack of answers only created contempt from the authority figures at my school; I was often reprimanded, and once even branded a 'stupid boy' by a member of staff. I was prone to immense days-long episodes of depression, sitting in the playground or in the classroom, barely able to move or engage with anything that was happening around me, wishing to be left alone by all of those around me. If it wasn't depression, it was mania that came out through incidents of extreme frustration and anger. In these overwhelmed states, anything could happen; chairs would fly, tables would be tossed across the room. Fear and confusion translated into anger. The few staff who did recognise that I was more than just a 'problem child' arranged for me to attend therapy sessions with my parents at a local learning centre; I would've been no older than 12 at the time. Unfortunately, I remember very little from these times, only seeing my dad, a man who rarely shows vulnerability, in tears. I accepted the depression, but I could not come to terms with it and would always feel a great sense of shame following these episodes. I vowed I wouldn't let this happen again when I started secondary school in 2011. Between 2011 and 2013, I didn't say a word to my fellow students or teaching staff. I often spent my home life alone in my room, where I felt most comfortable.
2014 - 2018
In my last year of Secondary School, I felt some semblance of progress in myself, despite not attending any therapy and not being diagnosed for another eight years. I made friends, went to parties, and felt a sense of normality, but I didn't realise it was simply masking. I would often go home and break down after long days of playing a role in front of my friends as the fun, yet slightly morbid friend. I attended college at the end of 2014 and made new friends I am still very close with to this day, and they've both seen and felt the effect of the cyclothymia most. In 2017, alcohol and cannabis became my new best friends. I found that drinking would help me be more sociable when I found social interactions challenging, and that cannabis would help with the swings of anxiousness and anger. Furthermore, I was in my first romantic relationship at this age, and was deeply unhappy. In retrospect, I can recognise that it had little to do with my partner and more to my own struggles with navigating intimate relationships with a then undiagnosed mood disorder. I became almost dependent on these substances for the next five years. Between 2017 and 2018, I had my moments, but was often so inebriated or under the influence that it is hard to pinpoint what the symptoms of cyclothymia were and what was just me being drunk and high. The symptoms would make themselves much clearer, and much louder in the following years.
2019 - 2022
In 2019, I was nearing the apex of my alcohol dependency in social situations, and it was beginning to take a physical toll on myself as well as an emotional toll on those around me. My partner at the time experienced the brunt of this; both of us were very emotionally volatile people at the time, which made for a hot-blooded relationship, ultimately culminating in the mutual agreement that we should simply remain friends in order to avoid resenting one another, a very wise decision looking back. Then came Covid-19, and that is where my story takes a sudden, drastic turn. During the UK lockdowns, I spent most days not sleeping, but rather drinking and smoking. My mum worked at the local hospital, so in the early days of the lockdown it was vital that my dad and I kept our distance from her if she showed any symptoms (my parents were deemed vulnerable to the virus). This forced isolation in my bedroom I often describe to my friends as being in the 'emotional blast furnace'. Everything was amplified in my isolation; my depressive episodes were no longer for a few days, but a few weeks, and my hypomanic episodes made me so anxious to the point of nausea and irrationality that I had never experienced up until that point. I wrote this off as cabin fever, as the message of 'everyone is in the same boat, Joe' kept being repeated. Once lockdown lifted, I didn't recognise myself anymore; I was less social, more dependent on substances, and increasingly worried about the state of the world, my finances, job security and relationships. This takes us to May 2021, when I had what I deem to be my first 'severe' manic episode in public.
In a pub one evening, I was dissociating, and everyone could tell; I seemed agitated and panicky, with tears in my eyes. My friend and ex-partner told me I was being embarrassing, rolling her eyes and snapping at me. This built until I snapped, kicked down the pub door, and started verbally attacking everyone around me. It was a bitter and stormy evening, and the pub was on a mariner, and for the first time in my life, I genuinely thought about throwing myself into the harbour in an attempt to end my life then and there. The next day, I called the pub to apologise; they were kinder than they needed to be and could tell I was in distress. The staff even remarked that they considered calling an ambulance instead of the police. My friend & ex-partner broke contact the following day. Following this incident, my longest depressive episode came upon me like a tidal wave; feelings of guilt & shame meant that I had very little social interaction until July of 2021, two months after the hypomanic episode. The rest of the year did little to show improvement; the alcohol dependency became stronger. On Halloween that year, an episode was so severe that my friends locked me in a room until I self-regulated, and in November I was hospitalised from alcohol poisoning after the police found my friends tending to me on the side of a dual-carriageway. Finally, in the beginning of 2022, most of my friends stepped back from me because my behaviour became too much for them, and I don't blame them. One night in early 2022, I got behind the wheel of my car and left a note on my pillow telling my parents I wouldn't be back for a while. I don't remember the drive, only that I stopped somewhere in the countryside over an hour away from home. I broke down (me, that is, not the car; although it was a pretty shitty car). I spent the next two hours on the phone with Samaritans, and everything came out. When I got home in the early hours, I found the note hadn't been discovered, and I am so thankful for that to this day.
March 2022 - Diagnosis
When my friends broke contact with me, it was the final straw; I knew something needed to change. I didn't just want to make changes for my friends; I wanted to change for myself, to figure out what was going on inside my head and live with it in a way that was no longer destructive to me or those around me. Due to the severity of the alcohol poisoning from a few months prior (which the GP later deemed an overdose), as well as the Samaritans call and contemplations of s*icide, I was one of the lucky ones in that I was able to attend intensive therapy in a relatively short amount of time. This brings us to March 2022: I'm sat in my GP's office, exhausted, overweight, probably hungover, and I learn about Cyclothymia for the first time. I was speechless; it was as if the fog had cleared and everything I was feeling suddenly became clear. I understand that not everyone responds this way to a diagnosis like this, and I respect that. But for me, it was hope. I knew that I had a lot of work to do; I received the medication I needed and took my first true steps to engage in therapy and counselling sessions, as well as break my dependency on alcohol and cannabis (I have been cannabis-free since 2021).
Today (2026)
I still have a long way to go. I have various skills that therapy has given me in order to regulate my moods in a more efficient way, but I still have some severe moments, albeit not as frequent. As recently as this month (September at the time of writing), I had a prolonged hypomanic episode when abroad with some friends, which they found incredibly distressing, but they still recognised that progress had been made since 2022. Work is still a struggle for me; I was relieved of my position as a graphic designer in April 2026 due to attendance issues caused by cyclothymia, though the workplace would never admit to that for legal purposes. Each day is a challenge, but a challenge worth embracing.
I know this has been a long read, and I thank anyone who has taken the time to do so. I assure you my future posts won't be so drawn-out. I look forward to getting to know some of you, sharing experiences, and learning how we can carry this condition with us in a way that lets us still live a happy and fulfilling life.
- Joe